Cardiology Case Report: Woman with Chest Pain and Palpitations

History:

A patient in their mid-40’s presents to the hospital with chest pain and palpitations for 2 hours. She denies syncope, SOB, leg swelling, fever, cough or other complaints.

Exam:

Vital signs are normal except for a pulse of about 175. The physical exam is otherwise normal with clear lungs, no edema and no thyromegaly.

An ECG is done:

Computer Read: Sinus tach at 179, ST & T wave abnormality, consider inferior ischemia.

Credit: Brady Pregerson, MD